Peripheral Artery Angioplasty ndi Kuyika Kwabwino

Zamkati

• Chifukwa Chomwe Peripheral Angioplasty ndi Stent Placement Zimachitika
• Zowopsa za Njirayi
• Momwe Mungakonzekerere Njirayi
• Momwe Njirayi Imachitikira
• Kupanga Incision
• Kupeza Kutsekeka
• Kuyika Stent
• Kutseka Incision
• Pambuyo pa Ndondomekoyi
• Maonekedwe ndi Kuteteza

Kodi Angioplasty ndi Kuyika Kwabwino?

Angioplasty yokhala ndimalo osanjikiza ndi njira yocheperako yomwe imagwiritsidwa ntchito kutsegula mitsempha yopapatiza kapena yotseka. Njirayi imagwiritsidwa ntchito m'malo osiyanasiyana amthupi lanu, kutengera komwe kuli mtsempha wamagazi. Zimangofunika pang'ono chabe.

Angioplasty ndi njira yachipatala momwe dokotala wanu amagwiritsa ntchito buluni yaying'ono kukulitsa mtsempha. Stent ndi chubu chaching'ono chomwe chimalowetsedwa mumtsempha wanu ndikusiya pamenepo kuti chisatseke. Dokotala wanu angakulimbikitseni kumwa mankhwala a aspirin kapena antiplatelet, monga clopidogrel (Plavix), kuti muteteze kutsekemera, kapena atha kukupatsirani mankhwala othandizira kuti muchepetse cholesterol.

Chifukwa Chomwe Peripheral Angioplasty ndi Stent Placement Zimachitika

Mafuta anu akachuluka kwambiri, mafuta omwe amadziwika kuti plaque amatha kulumikizana ndi makoma amitsempha yanu. Izi zimatchedwa atherosclerosis. Chikwangwani chikamakundana mkati mwa mitsempha yanu, mitsempha yanu imatha kuchepa. Izi zimachepetsa malo oti magazi azitha kuyenda.

Mwala umatha kudziunjikira paliponse mthupi lanu, kuphatikiza mitsempha m'manja ndi m'miyendo. Mitsempha iyi ndi mitsempha ina yomwe ili kutali kwambiri ndi mtima wanu imadziwika kuti zotumphukira.

Angioplasty and stent mayikidwe ndi njira zamankhwala zotumphukira mtsempha wamagazi (PAD). Vutoli limaphatikizapo kuchepa kwa mitsempha m'manja mwanu.

Zizindikiro za PAD ndi izi:

• kumverera kozizira m'miyendo mwanu
• mtundu umasintha m'miyendo yanu
• dzanzi miyendo yanu
• cramping mu miyendo yanu pambuyo ntchito
• Kulephera kwa erectile mwa amuna
• kuwawa komwe kumasulidwa ndi kuyenda
• kupweteka kwa zala zanu zakumapazi

Ngati mankhwala ndi mankhwala ena samathandiza PAD yanu, dokotala wanu atha kusankha angioplasty ndikuyika stent. Amagwiritsidwanso ntchito ngati njira yadzidzidzi ngati mukudwala matenda a mtima kapena sitiroko.

Zowopsa za Njirayi

Njira iliyonse yochita opaleshoni imakhala ndi zoopsa. Zowopsa zomwe zimayambitsidwa ndi angioplasty ndi stents ndi monga:

• thupi lawo siligwirizana ndi mankhwala kapena utoto
• mavuto opuma
• magazi
• kuundana kwamagazi
• matenda
• kuwonongeka kwa impso
• kubwezeretsanso mitsempha yanu, kapena restenosis
• kuphwanya mtsempha wanu

Zowopsa zomwe zimabwera ndi angioplasty ndizochepa, koma zitha kukhala zazikulu. Dokotala wanu adzakuthandizani kuwunika maubwino ndi zoopsa za njirayi. Nthawi zina, adokotala amatha kukupatsani mankhwala ochepetsa kugwiritsira ntchito mankhwala osokoneza bongo, monga aspirin, kwa chaka chimodzi mutatha kuchita izi.

Momwe Mungakonzekerere Njirayi

Pali njira zingapo zomwe muyenera kukonzekera njira yanu. Muyenera kuchita izi:

• Chenjezani dokotala wanu za chifuwa chilichonse chomwe muli nacho.
• Uzani dokotala wanu mankhwala, zitsamba, kapena zowonjezera zomwe mumamwa.
• Uzani dokotala wanu za matenda aliwonse omwe muli nawo, monga chimfine kapena chimfine, kapena zina zomwe zidakhalapo, monga matenda ashuga kapena matenda a impso.
• Musadye kapena kumwa chilichonse, kuphatikiza madzi, usiku woti muchitidwe opareshoni.
• Tengani mankhwala aliwonse omwe dokotala akukulemberani.

Momwe Njirayi Imachitikira

Angioplasty yokhala ndi ma stent nthawi zambiri imatenga ola limodzi. Komabe, njirayi imatha kutenga nthawi yayitali ngati ma stents akuyenera kuyikidwa mumitsempha yoposa imodzi. Mudzapatsidwa mankhwala oletsa ululu am'deralo kuti muthandize kupumula thupi lanu ndi malingaliro anu. Anthu ambiri amakhala atcheru panthawiyi, koma samva kuwawa kulikonse. Pali njira zingapo pochitira izi:

Kupanga Incision

Angioplasty yokhala ndimalo osanjikizika ndi njira yocheperako yocheperako yomwe imachitika kudzera pobowola pang'ono, nthawi zambiri mu kubuula kapena m'chiuno mwanu. Cholinga ndikuti mupange mawonekedwe omwe angapatse dokotala mwayi wolowera kumtunda wotsekedwa kapena wopapatiza womwe umayambitsa mavuto azaumoyo.

Kupeza Kutsekeka

Pogwiritsa ntchito njirayi, dokotalayo amaika chubu chofewa chomwe chimadziwika kuti catheter. Adzatsogolera catheter kudzera mumitsempha yanu kupita pachimake. Pa sitepe iyi, dokotalayo adzawona mitsempha yanu pogwiritsa ntchito X-ray yapadera yotchedwa fluoroscopy. Dokotala wanu amatha kugwiritsa ntchito utoto kuti azindikire ndikupeza kutseka kwanu.

Kuyika Stent

Dokotala wanu azidutsa kantambo kakang'ono kudzera pacatheter. Catheter yachiwiri yomwe yaphatikizidwa ndi buluni yaying'ono imatsata waya wowongolera. Buluniyo ikafika pamtsempha wanu wotsekedwa, imakulira. Izi zimakakamiza mitsempha yanu kuti izitseguka ndipo imalola kuti magazi abwerere.

Stent idzaikidwa nthawi imodzimodzi ndi buluni, ndipo imakulitsa ndi buluni. Stent ikakhala yotetezeka, dotolo wanu akuchotsa catheter ndikuwonetsetsa kuti stent ilipo.

Mitundu ina, yotchedwa mankhwala osokoneza bongo, imakutidwa ndi mankhwala omwe amatuluka pang'onopang'ono mumtsempha wanu. Izi zimapangitsa kuti mitsempha yanu ikhale yosalala komanso yotseguka, komanso zimathandiza kupewa zotchinga mtsogolo.

Kutseka Incision

Kutsatira kukhazikika, kutsekedwa kwanu kudzatsekedwa ndikuvekedwa, ndipo mudzabwezeretsedwanso kuchipinda chowonera kuti mukawonere. Namwino amayang'anira kuthamanga kwa magazi ndi kuthamanga kwa mtima. Kusuntha kwanu kudzakhala kochepa panthawiyi.

Ma angioplasties ambiri okhala ndi malo owoneka bwino amafunikira kuyendera usiku kuti atsimikizire kuti palibe zovuta, koma anthu ena amaloledwa kupita kwawo tsiku lomwelo.

Pambuyo pa Ndondomekoyi

Malo anu obowolera adzakhala owawa ndipo mwina adzaphwanyidwa masiku angapo kutsatira njirayi, ndipo mayendedwe anu azikhala ochepa. Komabe, kuyenda kochepa pamalo athyathyathya ndikovomerezeka ndikulimbikitsidwa. Pewani kukwera kapena kutsika masitepe kapena kuyenda mtunda wautali m'masiku awiri kapena atatu oyamba mukatha kuchita.

Muyeneranso kupewa zinthu monga kuyendetsa galimoto, kugwira ntchito pabwalo, kapena masewera. Dokotala wanu adzakudziwitsani nthawi yomwe mungabwerere kuzomwe mumachita. Nthawi zonse tsatirani malangizo aliwonse omwe dokotala kapena dokotala akukupatsani mukamachita opaleshoni yanu.

Kuchira kwathunthu kumatha kutenga milungu isanu ndi itatu.

Pamene bala lanu likucheka, mukulangizidwa kuti muzisunga malowo kuti akhale oyera kuti mupewe matenda komanso kuti musinthe mavalidwe pafupipafupi. Lumikizanani ndi dokotala wanu nthawi yomweyo mukawona izi:

• kutupa
• kufiira
• kumaliseche
• ululu wosazolowereka
• magazi omwe sangayimitsidwe ndi bandeji yaying'ono

Muyeneranso kulumikizana ndi adotolo mukazindikira:

• kutupa m'miyendo mwanu
• kupweteka pachifuwa komwe sikupita
• kupuma movutikira osachoka
• kuzizira
• malungo opitilira 101 ° F
• chizungulire
• kukomoka
• kufooka kwakukulu

Maonekedwe ndi Kuteteza

Ngakhale angioplasty yokhala ndi ma stent ikulankhula ndi kutsekeka kwa munthu payekha, sikukonza chomwe chimayambitsa kutsekeka. Pofuna kupewa zotchinga zina ndikuchepetsa chiopsezo cha matenda ena, mungafunike kusintha zina ndi zina pamoyo wanu, monga:

• kudya chakudya chopatsa thanzi poletsa kuchepa kwamafuta anu okhathamira, sodium, ndi zakudya zopangidwa
• kuchita masewera olimbitsa thupi nthawi zonse
• kusiya kusuta ngati mumasuta chifukwa kumawonjezera chiopsezo cha PAD
• kuthana ndi kupsinjika
• kumwa mankhwala ochepetsa mafuta m'thupi ngati akupatsani mankhwala

Dokotala wanu angakulimbikitseninso kugwiritsa ntchito mankhwala osokoneza bongo kwa nthawi yayitali, monga aspirin, pambuyo potsatira njira yanu. Osasiya kumwa mankhwalawa osalankhula ndi dokotala poyamba.